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PMT14-03399 City of Menifee Permit No.: PMT14-03399 29714 HAUN RD. Type: Residential Electrical A MENIFEE, CA 92586 MENIFEE Date Issued: 1 2131/2 01 4 PERMIT Site Address: 25247 SUNNYDALE CIR, MENIFEE, CA Parcel Number: 339-403-014 92584 Construction Cost: $6,757.00 Existing Use: Proposed Use: Description of UPGRADE PANEL FROM 125 AMPS TO 200 AMPS-SAME METER LOCATION Work: Owner Contractor MARTIN&DONNA RAUSCHER CANDLE LIGHT ELECTRIC INC DBA:RIGHTIME 25247 SUNNYDALE CIR ELECTRIC MENIFEE, CA 92584 3030 MYERS STREET Applicant Phone: 9512769744 JANE RECKTENWALD License Number: 961404 CANDLE LIGHT ELECTRIC INC DBA:RIGHTIME ELECTRIC 3030 MYERS STREET RIVERSIDE, CA 92503 Fee Description City Amount Receptacle Swltch Qutlet&Fi>Lure 1' 116.00 Building Permit Issuance 1 27.00 s' 1 06 $144.00 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee. Except as othenvise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9 (commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full forc a`(effect. Code:The Contractor's License Law does not apply to an owner of a property License Class CUQ License No.lf '-j who builds or improves thereon, and who contracts for the projects with a Expires -12A-(s Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, 1 cannot legally sell a structure that I have permit is issued. Policy# built as an owner-building if it has not been constructed in its entirety by licensed y contractors. I understand that a copy of the applicable law, Section 7044 of the ❑ I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:h /w�info.ca. ov/calaw.html. permit is issued.Myworkers'compensation insurance carrier and policy number are: (�-�(- ).TA5 (o A- �e-We # Property Owner or Au orze A entDate Carrier C� � Expires H41(D Policy# ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- El I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. shall not employ any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become tee._. t•�- -'l� subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Author d ent Date Code, I shall forthwith comply with those provisions. ..( City Business License# ¢Q) � Date; Applicant;Applicant; WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES F Er EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE - Lender's Name ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address lKjNO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, -�I-NO SCHOOL? or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or AYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to 0 UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR ORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BUILDINGAPPLICATION Menifee DATE 12-31-2014 PERMIT/PLAN CHECK NUMBER r ( , of 34 TYPE: O COMMERCIAL L'i RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME 0 POOLJSPA 0 SIGN SUBTYPE: O ADDITION 0 ALTERATION O DEMOUTION R ELECTRICAL O MECHANICAL O NEW O PLUMBING ORE-ROOF APPLICATION NAME DESCRIPTION OF WORK Upgrade panel from 125 amps to 200 amps - same meter location PROIECTADDRESS 25247 Sunn dale Cir ASSESSOR'S PARCEL NUMBER 339-403-014 LOT TRACT �- 3 PRNER NAME h r ADDRESS 25247 Sunn dale Cir Menifee CA 92584 PHONE 951-301-5297 EMAIL APPLICANTNAME ecktenwald ADDRESS PHONE 714-336-6159 EMAIL s att.net CONTRACTOR'S NAMERightiMe OWNER BUILDER? U YES O NO BUSINESS NAME ADDRESS 3030 Myers St Riverside CA 92503 PHONE 951-276-9744 EMAIL CONTRACTOR'S STATE LIC NUMBER ff_q(dqd1Ii LICENSE CLASSIFICATION VALUATION$ 6.757.00 SOFT L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION ro CITY OF MENIFEE BUSIN LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE SMIP GREEN Q INVOICE Live PAIDAMOUNT AMOUNT I L j G CASH O CHECK N O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH 0 CHECK 9 <%CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO LICENSE NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Haun Rd.Menifee, CA 92586 9S2-672-6777 www.citPofinentjee.us Inspection Request Line 951-246-6213 O t� a CD 0CD D CDW CD N .< O ON g S CD